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Effect of breast milk oral care in infants who underwent surgical correction of ventricular septal defect

Published online by Cambridge University Press:  22 April 2021

Xian-Rong Yu
Affiliation:
Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China Fujian Key Laboratory of Women and Children’s Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China Department of Cardiac Surgery, Fujian Branch of Shanghai Children’s Medical Center, Fuzhou, China Department of Cardiac Surgery, Fujian Children’s Hospital, Fuzhou, China
Yu-Qing Lei
Affiliation:
Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China Fujian Key Laboratory of Women and Children’s Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China Department of Cardiac Surgery, Fujian Branch of Shanghai Children’s Medical Center, Fuzhou, China Department of Cardiac Surgery, Fujian Children’s Hospital, Fuzhou, China
Jian-Feng Liu
Affiliation:
Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China Fujian Key Laboratory of Women and Children’s Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China Department of Cardiac Surgery, Fujian Branch of Shanghai Children’s Medical Center, Fuzhou, China Department of Cardiac Surgery, Fujian Children’s Hospital, Fuzhou, China
Zeng-Chun Wang
Affiliation:
Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China Fujian Key Laboratory of Women and Children’s Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China Department of Cardiac Surgery, Fujian Branch of Shanghai Children’s Medical Center, Fuzhou, China Department of Cardiac Surgery, Fujian Children’s Hospital, Fuzhou, China
Hua Cao
Affiliation:
Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China Fujian Key Laboratory of Women and Children’s Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China Department of Cardiac Surgery, Fujian Branch of Shanghai Children’s Medical Center, Fuzhou, China Department of Cardiac Surgery, Fujian Children’s Hospital, Fuzhou, China
Qiang Chen
Affiliation:
Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China Fujian Key Laboratory of Women and Children’s Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China Department of Cardiac Surgery, Fujian Branch of Shanghai Children’s Medical Center, Fuzhou, China Department of Cardiac Surgery, Fujian Children’s Hospital, Fuzhou, China
Corresponding
E-mail address:

Abstract

Objective:

This study explored the clinical effect of employing breast milk oral care for infants who underwent surgical correction of ventricular septal defect.

Methods:

A prospective randomised controlled study was conducted in a provincial hospital between January, 2020 and July, 2020 in China. Patients were randomly divided into an intervention group (breast milk oral care, n = 28) and a control group (physiological saline oral care, n = 28). The intervention group was given oral nursing using breast milk for infants in the early post-operative period, and the control group was given oral nursing using physiological saline. Related clinical data were recorded and analysed.

Results:

There were no significant differences in age, gender, weight, operation time, cardiopulmonary bypass time, or aortic cross-clamping time between the two groups. Compared with the physiological saline oral care group, the mechanical ventilation duration, the length of ICU stay in the breast milk oral care group were significantly shorter. The time of start feeding and total enteral nutrition were significantly earlier in the intervention group than those in the control group. The incidence of post-operative pneumonia in the breast milk oral care group was 3.6%, which was significantly lower than that of the physiological saline oral care group.

Conclusion:

The use of breast milk for oral care in infants who underwent surgical correction of VSD can reduce the incidence of post-operative pneumonia and promote the recovery of gastrointestinal function.

Type
Original Article
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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